Organization
PREMIUM FOOT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS TYRONE HAYWOOD D.P.M. (PODIATRIST)
(973) 222-9503
Entity
Organization
Contact information
Practice address
8819 QUINCY AVE, CLEVELAND, OH 44106-3445
(216) 721-3338
(216) 721-2375
Mailing address
PO BOX 202506, SHAKER HEIGHTS, OH 44120-8125
(216) 721-3338
(216) 721-2375
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
OH
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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